29D2121347 CLIA NUMBER - SIMONMED IMAGING INC-LAS VEGAS

Laboratory Demographics

CLIA Number: 29D2121347

Facility Name: SIMONMED IMAGING INC-LAS VEGAS

Facility Address:
3560 E FLAMINGO STE 100
LAS VEGAS, NV
ZIP 89121
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Facility Phone Number: 702 433-6944

Facility Type: Other - OUTPATIENT MED IMAGING

Certificate Type: Waiver

NPI Number: 1548807274

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	29D2121347
LAB Type	Other - OUTPATIENT MED IMAGING
Facility Name	SIMONMED IMAGING INC-LAS VEGAS
Street	3560 E FLAMINGO STE 100
City	LAS VEGAS
State	NV
ZIP	89121
Phone	702 433-6944
CertificateType	4
CertificateEffectiveDate	11/3/2022
CertificateExpirationDate	11/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024